| NPI | 1770926016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113603) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113603) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-10-22 |